Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.47 / $759.47 / $759.47	Facility		$759.47	$759.47	$759.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.64 / $759.47 / $1,262.21	Professional		$653.64	$759.47	$1,262.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,025.46 / $7,388.55 / $16,115.37	Facility		$2,025.46	$7,388.55	$16,115.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.97 / $1,166.17 / $1,166.17	Professional		$1,018.97	$1,166.17	$1,166.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,650.68	Facility		$843.35	$843.35	$1,650.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $1,779.00	Professional		$716.85	$843.35	$1,779.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.25 / $1,374.25 / $1,764.61	Professional		$1,190.25	$1,374.25	$1,764.61
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,994.77 / $1,994.77 / $1,994.77	Professional		$1,994.77	$1,994.77	$1,994.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $738.28 / $1,054.69 / $1,107.42	Professional		$738.28	$1,054.69	$1,107.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,534.44 / $2,159.44 / $4,012.97	Facility		$1,534.44	$2,159.44	$4,012.97
United Facility/Professional Professional Modifier Low / Median / High Price $561.11 / $765.52 / $1,314.15	Professional		$561.11	$765.52	$1,314.15